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Anna Kepner's cruise ship death ruled homicide; cause listed as 'mechanical asphyxia'

The death of 18-year-old Anna Kepner on a Carnival cruise ship has been ruled a homicide, according to a copy of the death certificate issued on Monday and provided to ABC News by Kepner's family.
The document said the death was caused by "mechanical asphyxia" and the date of injury was listed as Nov. 6, though the time is unknown. It says the teenager "was mechanically asphyxiated by other person(s)."
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